Use of Low-profile Palmar Internal Fixation in Digital Replantation

Ross, Mark, Bollman, Christof and Couzens, Gregory B. (2015) Use of Low-profile Palmar Internal Fixation in Digital Replantation. Techniques in Hand and Upper Extremity Surgery, 19 4: 147-152. doi:10.1097/BTH.0000000000000097

Author Ross, Mark
Bollman, Christof
Couzens, Gregory B.
Title Use of Low-profile Palmar Internal Fixation in Digital Replantation
Journal name Techniques in Hand and Upper Extremity Surgery   Check publisher's open access policy
ISSN 1089-3393
Publication date 2015-08-20
Year available 2015
Sub-type Article (original research)
DOI 10.1097/BTH.0000000000000097
Open Access Status Not Open Access
Volume 19
Issue 4
Start page 147
End page 152
Total pages 6
Place of publication Philadelphia, PA United States
Publisher Lippincott Williams and Wilkins
Collection year 2016
Language eng
Formatted abstract
There are multiple surgical techniques to stabilize the bone in digital replantation. Various criteria need to be considered when choosing appropriate bony fixation including operative time, ease of exposure, stability, limitation of the area of dissection, and reproducibility.  We describe our technique using internal fixation with a lowprofile plate on the palmar aspect of the proximal or middle phalanx during replantation of a digit. This technique allows coverage of the plate with no risk of compromising the dorsal venous anastomosis. In our experience, using this technique we have observed no complications
including no secondary displacement of the fragments or extensor tendon rupture and no incidence of infection. In addition, this technique allows adequate bony fixation to enable an early active range of motion rehabilitation program.
Keyword Internal fixation
Digital replantation
Early rehabilitation
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
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